Mrs. Clymer is a 58 year old female who presented to the ED with medical issues, however expressed some suicidal ideation per nursing staff.
At the time of the assessment Mrs. Clymer was found asleep. She was awaken by QP calling her name. Mrs. Clymer appear 4Xoriented and willing to cooperate. Mrs. Clymer reports she expressed "not wanting to be here anymore (referring to the hospital)." She expressed to QP thoughts of her husband not caring for her anymore due to the multiple medical issues she has been experiencing. Mrs. Clymer denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. She states, "I 'm just sick and have to get over it." Mrs. Clymer denies symptoms of depression at this current time, however some symptoms are expressed. Mrs. Clymer expressed feelings of worthlessness, irritability, sadness, and anhedonia. Mrs. Clymer reports a history of depression. She reports no current outpatient services.
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Garing and Howard McQuirter, LCSW. The both share the disposition that Mrs. Clymer should be discharged pending her agreeing to follow up with outpatient services. Mrs. has contracted for safety, was given outpatient referral information, and complete crisis
This case was decided on June 15, 2017. Issue: This cases issue involved Timothy W. Gallagher bringing an action of medical malpractice, negligence, wrongful death, and emotional distress suit against Cayuga Medical Center for releasing his son from the hospital when he was having suicidal
On 10/22/2015 SO EMT Perez was dispatched to FC 418 regaurding a fallen female resident. SO EMT Perez knocked and announce his presence at the door and was greeted by the spouse of the resident who invited him in. The fallen resident in question was on the kitchen floor sitting upright, a Mrs. Barbara Murtishaw. Mrs. Barbara Murtishaw had fallen in her kitchen and needed a lift assist because she could not get up on her own strength. Mrs. Barbara Murtishaw stated that she was not in any pain and only wated to be lifted upright.
On 10/29/2015 SO EMT Perez was dispatched to PV-119 regaurding foot pain. SO EMT Perez knocked and was verbally greeted in by the resident a Mrs. Suzanne Truss. Mrs. Suzanne Truss was very stressed and seemingly overwhelmed and she stated that she had foot pain but before SO EMT Perez had a chance to evaluate Mrs. Suzanne Truss got up on her own strength from her bedside and proceeded to walk to her bathroom with assistance of her walker. Mrs.Suzanne Truss wanted SO EMT Perez present in the bathroom because she stated it made her less nervous. After Mrs. Suzanne Truss finished in the bathroom and walked to her bed SO EMT Perez began an assesment which revealed the following; Blood Pressure 110/72, pulse rate of 75bpm, and foot pain of the
On 8/1/2015 S/O EMT Perez was dispatched to FC-609 regarding a fall. S/O EMT Perez announced hispresnece and knocked at the door and was verbally greeted in by the resident. The fallen resident, a Mrs. Ida Looney stated she lost her balance and fell while trying to get up from the living room couch and was unable to get up on her own strength, Mrs. Looney was on the couch by the time S/O EMT Perez arrived. Mrs. Looney stated that; she was unaware of any change in medications nor was she aware that she was on any blood thinners, She did recall and remember the fall and was unaware and or could not recolect weather or not she was seeing a doctor here at riderwood. Mrs. Looney seemed to be a bit complacent mentally to which her spouse said was
On 9/25/2015 SO EMT Perez was dispatched to VP-113 regaurding a fall. S/O EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and introduced to the fallen female resident a, Mrs. Dorothy Gish who was sitting upright on the living room floor by her rollater. Mrs. Dorothy Gish stated that she was sitting on her rollator when she slid onto the floor and was unable to pick herself up on her own strength. S/O EMT Perez performed a pelvic exam on Mrs. Gish which revealed no pain or grimace.
The counselor decided to wait at the home until the licensee Janice Bryant arrival. The counselor informed Janice that the resident needed to be seen by a physician due to her continued
Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications.
On October 30th, 2015 at 2116 hours, Florida Hospital Security Operation Command (SOC) radioed FHEO Security for a Disorderly Patient ED (51D). Officers Omar Alonso-420, Steven Evans-407 and Carlos Ayuso-415 responded to the call. Upon arrival, Security staff observed Nurse Traci Davila and Dr. William Kotler in Room ED #39 talking and advising patient, Christopher Sheets (MRN: 3028388/Fin: 84773293) about the risk he takes without seeking medical attention. The patient, Mr. Kolter wasn't combative, was just anxious and wanting to leave because he didn't know what happened and also because he didn't have insurance.
IN THE HEALTH CARE ALTERNATIVE RESOLUTION OFFICE OF FLORIDA NORTHCHASE NORTH PARCEL 45 COMMUNITY ASSOCIATION, INC., a Florida not-for-profit corporation, Claimant, -vs- LINDSEY RICHMOND, SPTC 480 Central Region Road Suit B-3 Fort Myers, FL 32666 Defendant Healthcare Provider __________________________________ FACTS 1. The claimant is a resident of the State of Florida and all services were given to her by the Defendant in the State of Florida. 2. The Defendant is a Licensed Clinical Professional Counselor that is licensed by the State of Florida and regularly continue engaging in the practice of psychotherapy. Defendant sustains her principle office at 480 Central Region Road, Suite B-3, Fort Myers, Florida 32666.
Jebera Coughmen presented the following four symptoms of Depression for at least three weeks . Coughmen has expressed several significant problems including continued sadness that has led him to underperform at his new job. He has near daily Insomnia. For the last three weeks, he has shown no interest in family, gardening, and tinkering all of which use to be important activities to him and most days he has been eating very little with the complaint that he is not hungry. Finally, he still expresses guilt for having been laid-off after the factory he worked at closed down despite having started a new job that pays less but is more stable.
Like many mentally ill Kentuckians, Morton was neither dangerous enough to be kept in a hospital for long nor healthy enough to care for himself in the community. If successful, House Bill 94 would "keep people out of the revolving door of the hospital," Sheila Schuster of the Kentucky Mental Health Coalition told the committee. Most states have adopted some version of "assisted outpatient treatment" since the 1980s, when families of the mentally ill began to lobby for it. Police or family members can have the mentally ill involuntarily committed to a hospital for treatment once they deteriorate to the point that they pose a threat to themselves or others. First, at a hearing, a judge would decide if the individual met various criteria, including having a severe mental illness, symptoms of anosognosia, a likelihood that he would be a danger to others and a determination that outpatient treatment was the least restrictive alternative available.
Carleton Pyfrom II requested that I accompany him in the evaluation of a patient who is stating that he is suicidal. Mr. Pyfrom II and I met with him upstairs in the quiet room. The patient stated that he wanted to “blow his brains out” because he was on a high dose of pain medications and has not been able to get them here. Mr. Pyfrom II questioned the patient about his circumstance and he stated that he had a stroke and has been on pain medications, which were prescribed by Dr. Patellis, he is here today to see Dr. Katoch.
Each case entails careful interviewing, accurate patient history, interprofessional cooperation, and compassion and patience to stabilize patients. With patient WW, the complicated social history and suicidal episode accounted for a longer stay than average and even after discharge, the patient still may not be able to return to completely normal functioning. Cost of care is substantial and reimbursement for services and resources can be tricky. Each case has to adhere to specific guidelines for reimbursement related to
The patient is a 14 year old female who presented to the ED with homicidal ideation (HI) to harm her mother. Patient reports suicidal ideation (SI) with no plan on arrival. During the time of assessment the patient was sitting upright in her bed watching TV. According to nursing staff notes the patient has not been aggressive since arrival to ED. The patient reports a history of emotional abuse from her siblings and peers.